subject:(Surgical Care)

University of Zambia

1. Chisoso, Ng'andu John. Challenges faced by Hospital in providing surgical care and handling surgical needs in Zambia .

Degree: 2014, University of Zambia

URL: http://hdl.handle.net/123456789/3385

► Challenges faced by hospitals in providing surgical care are many and important to public health. These challenges have long been neglected hence posing a lot… (more)

Subjects/Keywords: Postoperative Care; Surgical Nursing

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APA (6^th Edition):

Chisoso, N. J. (2014). Challenges faced by Hospital in providing surgical care and handling surgical needs in Zambia . (Thesis). University of Zambia. Retrieved from http://hdl.handle.net/123456789/3385

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Chisoso, Ng'andu John. “Challenges faced by Hospital in providing surgical care and handling surgical needs in Zambia .” 2014. Thesis, University of Zambia. Accessed March 03, 2021. http://hdl.handle.net/123456789/3385.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Chisoso, Ng'andu John. “Challenges faced by Hospital in providing surgical care and handling surgical needs in Zambia .” 2014. Web. 03 Mar 2021.

Vancouver:

Chisoso NJ. Challenges faced by Hospital in providing surgical care and handling surgical needs in Zambia . [Internet] [Thesis]. University of Zambia; 2014. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/123456789/3385.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Chisoso NJ. Challenges faced by Hospital in providing surgical care and handling surgical needs in Zambia . [Thesis]. University of Zambia; 2014. Available from: http://hdl.handle.net/123456789/3385

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Ghana

2. Abdullai, S.T. Adherence to Safe Surgery Practices in Government Hospitals in Sekondi-Takoradi Metropolis .

Degree: 2019, University of Ghana

URL: http://ugspace.ug.edu.gh/handle/123456789/33688

► Background Surgery is vital, resolving much of the global burden of disease. In spite of improvements in surgical care there are still risks of harm… (more)

▼ Background Surgery is vital, resolving much of the global burden of disease. In spite of improvements in surgical care there are still risks of harm to patients due to non-adherence to surgical safety standards. In Ghana, data on surgery related adverse events are scanty. Few studies done in Ghana estimates surgery related adverse events at 19% and prevalence of surgical site infections (SSIs) ranges from 9.6% to 40%. Successive peer review assessments in the Western region over the past five years have also revealed a significant proportion of surgical site infections, poor infection prevention and control practices in the surgical theatres and non - usage of surgical safety checklist for patients mostly in these four hospitals in Sekondi- Takoradi Metropolis. To address this, Ghana adopted the WHO surgical safety guidelines in 2010. This study was to assess adherence of four government hospitals to safe surgery practices and associated factors in the Sekondi-Takoradi Metropolis (STM). Methods This was a cross sectional study with mixed method. Structured questionnaires were used to assess knowledge of theatre staff on safe surgery practices. Theatre assessment for availability of logistics and a retrospective record review of adult patients (≥13 years) who had surgeries involving incisions under spinal and/or general anaesthesia from January-December, 2018 were done to assess the use of WHO SSC and presence of SSIs using checklists. Six key staff were also interviewed. Quantitative data were analyzed using Excel 15.0 and STATA 15.0 and univariate, bivariate and multivariate analysis done and results presented as frequencies, proportions, p-values and odd ratios using tables and figures. Qualitative data were analysed by transcribing responses of participants word for word and thematic analysis used to analyze their core statements. Knowledge level of respondents was categorised as poor, average and good. Adherence was assessed by rate of use and completion rate of the WHO surgical safety checklist and results scored as adherence or non-adherence. Results Overall, none of the hospitals was found to adhere to safe surgery practices. Overall checklist use and completion rate were 50.1% and 21.0% respectively. Mean knowledge score was 61.8± 14.4. Majority (62.3%) of respondents had average knowledge. Five out of six key staff interviewed were aware of the WHO SSG. After controlling for other variables, marital status, knowledge of WHO SSG, perception of surgical checklist is a waste of time and internal training sections on Infection Prevention and Control (IPC) were significantly associated with knowledge level of respondents (p-value <0.05). The total proportion of SSIs was 49.1% (46/381). There was a 25% increase odds of developing SSI after surgery for each day increase of the stay of patients after surgery (AOR: 1.25, 95% CI: [110, 1.43], p-value = 0.001). Conclusion None of the hospitals was found to adhere to safe surgery practices. Factors found to affect adherence were little knowledge about the…

Subjects/Keywords: Surgery; Surgical Care; Surgical Safety Standards; Sekondi- Takoradi Metropolis

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APA (6^th Edition):

Abdullai, S. T. (2019). Adherence to Safe Surgery Practices in Government Hospitals in Sekondi-Takoradi Metropolis . (Masters Thesis). University of Ghana. Retrieved from http://ugspace.ug.edu.gh/handle/123456789/33688

Chicago Manual of Style (16^th Edition):

Abdullai, S T. “Adherence to Safe Surgery Practices in Government Hospitals in Sekondi-Takoradi Metropolis .” 2019. Masters Thesis, University of Ghana. Accessed March 03, 2021. http://ugspace.ug.edu.gh/handle/123456789/33688.

MLA Handbook (7^th Edition):

Abdullai, S T. “Adherence to Safe Surgery Practices in Government Hospitals in Sekondi-Takoradi Metropolis .” 2019. Web. 03 Mar 2021.

Vancouver:

Abdullai ST. Adherence to Safe Surgery Practices in Government Hospitals in Sekondi-Takoradi Metropolis . [Internet] [Masters thesis]. University of Ghana; 2019. [cited 2021 Mar 03]. Available from: http://ugspace.ug.edu.gh/handle/123456789/33688.

Council of Science Editors:

Abdullai ST. Adherence to Safe Surgery Practices in Government Hospitals in Sekondi-Takoradi Metropolis . [Masters Thesis]. University of Ghana; 2019. Available from: http://ugspace.ug.edu.gh/handle/123456789/33688

Deakin University

3. Foran, Paula. The value of guided operating theatre experience for undergradaute nurses.

Degree: School of Education, 2012, Deakin University

URL: http://hdl.handle.net/10536/DRO/DU:30056795

► Not all undergraduate nurses visit the operating theatre. Does this impact on care provided pre and post-operatively? Knowledge testing revealed a 76% pass rate for… (more)

Subjects/Keywords: Nurses; Operating theatre; Surgical care; Education

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APA (6^th Edition):

Foran, P. (2012). The value of guided operating theatre experience for undergradaute nurses. (Thesis). Deakin University. Retrieved from http://hdl.handle.net/10536/DRO/DU:30056795

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Foran, Paula. “The value of guided operating theatre experience for undergradaute nurses.” 2012. Thesis, Deakin University. Accessed March 03, 2021. http://hdl.handle.net/10536/DRO/DU:30056795.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Foran, Paula. “The value of guided operating theatre experience for undergradaute nurses.” 2012. Web. 03 Mar 2021.

Vancouver:

Foran P. The value of guided operating theatre experience for undergradaute nurses. [Internet] [Thesis]. Deakin University; 2012. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/10536/DRO/DU:30056795.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Foran P. The value of guided operating theatre experience for undergradaute nurses. [Thesis]. Deakin University; 2012. Available from: http://hdl.handle.net/10536/DRO/DU:30056795

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Cincinnati

4. Costanzo, Amy J. The Culture of Interprofessional Collaborative Practice on Two Adult Acute-Care Medical-Surgical Units.

Degree: PhD, Nursing: Nursing - Doctoral Program, 2017, University of Cincinnati

URL: http://rave.ohiolink.edu/etdc/view?acc_num=ucin1490699191549097

► Background: In 1999 the Institute of Medicine (IOM) report, To Err is Human, created awareness of healthcare error prevalence. The Joint Commission reported common causes… (more)

Subjects/Keywords: Health Care; interprofessional collaborative practice; focused ethnography; acute-care; medical-surgical

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APA (6^th Edition):

Costanzo, A. J. (2017). The Culture of Interprofessional Collaborative Practice on Two Adult Acute-Care Medical-Surgical Units. (Doctoral Dissertation). University of Cincinnati. Retrieved from http://rave.ohiolink.edu/etdc/view?acc_num=ucin1490699191549097

Chicago Manual of Style (16^th Edition):

Costanzo, Amy J. “The Culture of Interprofessional Collaborative Practice on Two Adult Acute-Care Medical-Surgical Units.” 2017. Doctoral Dissertation, University of Cincinnati. Accessed March 03, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1490699191549097.

MLA Handbook (7^th Edition):

Costanzo, Amy J. “The Culture of Interprofessional Collaborative Practice on Two Adult Acute-Care Medical-Surgical Units.” 2017. Web. 03 Mar 2021.

Vancouver:

Costanzo AJ. The Culture of Interprofessional Collaborative Practice on Two Adult Acute-Care Medical-Surgical Units. [Internet] [Doctoral dissertation]. University of Cincinnati; 2017. [cited 2021 Mar 03]. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=ucin1490699191549097.

Council of Science Editors:

Costanzo AJ. The Culture of Interprofessional Collaborative Practice on Two Adult Acute-Care Medical-Surgical Units. [Doctoral Dissertation]. University of Cincinnati; 2017. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=ucin1490699191549097

San Jose State University

5. Badrkhani, Shirin. Comparing Two Surgical Outcomes: Minithoracotomy or Full Sternotomy in Coronary Artery Bypass Grafting Surgery.

Degree: DNP, Nursing, 2019, San Jose State University

URL: https://doi.org/10.31979/etd.qfrp-t7f2 ; https://scholarworks.sjsu.edu/etd_doctoral/105

► Cardiovascular diseases and heart-related conditions can be life-threatening; however, some cardiovascular conditions can be managed with open heart surgery. Coronary artery bypass grafting (CABG)… (more)

▼ Cardiovascular diseases and heart-related conditions can be life-threatening; however, some cardiovascular conditions can be managed with open heart surgery. Coronary artery bypass grafting (CABG) is the most common type of heart surgery performed on adults. There are two different surgical procedures to correct cardiac defects: mini-thoracotomy and full sternotomy. Mini thoracotomy approach has been shown to reduce complications, such as pneumonia, excessive blood loss, and infection in mitral valve repair surgeries. However, little research has been done to compare these two surgical approaches performed for patients undergoing coronary artery bypass grafting (CABG). Specifically, there is inadequate data to compare these two surgical approaches in relation to length of stay and duration of ventilator use. The purpose of this study was to compare the surgical outcomes of mini-thoracotomy and full sternotomy in patients undergoing CABG surgeries. A retrospective chart review was conducted from an archival data (2010 to 2016) in patients undergoing CABG surgeries with either a mini-thoracotomy or full sternotomy approach. Included were patients with coronary artery blockages who required CABG surgeries. A one-way ANOVA and independent sample t-test were used for statistical analysis. Results showed that, there was no significant difference in days of hospitalization in those receiving mini-thoracotomy (M= 10.75, SD=10.25) as compared to those who receiving full- sternotomy (M=11.91, SD= 10.03), F (1,537) = 1.17, p = .23.There was no significant difference in number of hours of ventilation time for mini thoracotomy (M= 13.62, SD= 17.58) and full sternotomy (M= 22.33, SD= 95.96), F (1,537) = .90, p=.34. As the length of hospitalization and duration of ventilation did not differ in both surgical approaches, we can conclude that mini-thoracotomy was very comparable to full-sternotomy in these two areas for patients undergoing coronary artery bypass grafting. Advisors/Committee Members: Vivian Wong, Pervaiz Chaudhry, Caralee Bromme.

Subjects/Keywords: comparing two surgical outcomes; Critical Care Nursing; Perioperative, Operating Room and Surgical Nursing

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APA (6^th Edition):

Badrkhani, S. (2019). Comparing Two Surgical Outcomes: Minithoracotomy or Full Sternotomy in Coronary Artery Bypass Grafting Surgery. (Thesis). San Jose State University. Retrieved from https://doi.org/10.31979/etd.qfrp-t7f2 ; https://scholarworks.sjsu.edu/etd_doctoral/105

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Badrkhani, Shirin. “Comparing Two Surgical Outcomes: Minithoracotomy or Full Sternotomy in Coronary Artery Bypass Grafting Surgery.” 2019. Thesis, San Jose State University. Accessed March 03, 2021. https://doi.org/10.31979/etd.qfrp-t7f2 ; https://scholarworks.sjsu.edu/etd_doctoral/105.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Badrkhani, Shirin. “Comparing Two Surgical Outcomes: Minithoracotomy or Full Sternotomy in Coronary Artery Bypass Grafting Surgery.” 2019. Web. 03 Mar 2021.

Vancouver:

Badrkhani S. Comparing Two Surgical Outcomes: Minithoracotomy or Full Sternotomy in Coronary Artery Bypass Grafting Surgery. [Internet] [Thesis]. San Jose State University; 2019. [cited 2021 Mar 03]. Available from: https://doi.org/10.31979/etd.qfrp-t7f2 ; https://scholarworks.sjsu.edu/etd_doctoral/105.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Badrkhani S. Comparing Two Surgical Outcomes: Minithoracotomy or Full Sternotomy in Coronary Artery Bypass Grafting Surgery. [Thesis]. San Jose State University; 2019. Available from: https://doi.org/10.31979/etd.qfrp-t7f2 ; https://scholarworks.sjsu.edu/etd_doctoral/105

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Universiteit Utrecht

6. Veen, E.J. Quality assessment in surgery : the role of complication registration.

Degree: 2010, Universiteit Utrecht

URL: http://dspace.library.uu.nl:8080/handle/1874/45128

► The department of surgery of the St. Elisabeth hospital Tilburg started in 1986 to register complications for measuring surgical outcome and create programmes with quality… (more)

Subjects/Keywords: Geneeskunde; complication registry; surgical operations; health care quality

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APA (6^th Edition):

Veen, E. J. (2010). Quality assessment in surgery : the role of complication registration. (Doctoral Dissertation). Universiteit Utrecht. Retrieved from http://dspace.library.uu.nl:8080/handle/1874/45128

Chicago Manual of Style (16^th Edition):

Veen, E J. “Quality assessment in surgery : the role of complication registration.” 2010. Doctoral Dissertation, Universiteit Utrecht. Accessed March 03, 2021. http://dspace.library.uu.nl:8080/handle/1874/45128.

MLA Handbook (7^th Edition):

Veen, E J. “Quality assessment in surgery : the role of complication registration.” 2010. Web. 03 Mar 2021.

Vancouver:

Veen EJ. Quality assessment in surgery : the role of complication registration. [Internet] [Doctoral dissertation]. Universiteit Utrecht; 2010. [cited 2021 Mar 03]. Available from: http://dspace.library.uu.nl:8080/handle/1874/45128.

Council of Science Editors:

Veen EJ. Quality assessment in surgery : the role of complication registration. [Doctoral Dissertation]. Universiteit Utrecht; 2010. Available from: http://dspace.library.uu.nl:8080/handle/1874/45128

University of Utah

7. May, Betty Edna Birk. Effectiveness of sensory stimulation in producing voiding in hemorrhoidectomy patients with postoperative urinary retention;.

Degree: MS;, Nursing;, 1970, University of Utah

URL: http://content.lib.utah.edu/cdm/singleitem/collection/etd1/id/1670/rec/400

► The purpose of this study was to investigate the effectiveness of icing and brushing in producing voiding in hemorrhoidectomy patients with patients with postoperative urinary… (more)

Subjects/Keywords: Surgical Nursing; Postoperative Care; Anuria

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APA (6^th Edition):

May, B. E. B. (1970). Effectiveness of sensory stimulation in producing voiding in hemorrhoidectomy patients with postoperative urinary retention;. (Masters Thesis). University of Utah. Retrieved from http://content.lib.utah.edu/cdm/singleitem/collection/etd1/id/1670/rec/400

Chicago Manual of Style (16^th Edition):

May, Betty Edna Birk. “Effectiveness of sensory stimulation in producing voiding in hemorrhoidectomy patients with postoperative urinary retention;.” 1970. Masters Thesis, University of Utah. Accessed March 03, 2021. http://content.lib.utah.edu/cdm/singleitem/collection/etd1/id/1670/rec/400.

MLA Handbook (7^th Edition):

May, Betty Edna Birk. “Effectiveness of sensory stimulation in producing voiding in hemorrhoidectomy patients with postoperative urinary retention;.” 1970. Web. 03 Mar 2021.

Vancouver:

May BEB. Effectiveness of sensory stimulation in producing voiding in hemorrhoidectomy patients with postoperative urinary retention;. [Internet] [Masters thesis]. University of Utah; 1970. [cited 2021 Mar 03]. Available from: http://content.lib.utah.edu/cdm/singleitem/collection/etd1/id/1670/rec/400.

Council of Science Editors:

May BEB. Effectiveness of sensory stimulation in producing voiding in hemorrhoidectomy patients with postoperative urinary retention;. [Masters Thesis]. University of Utah; 1970. Available from: http://content.lib.utah.edu/cdm/singleitem/collection/etd1/id/1670/rec/400

University of Zambia

8. Mwila, Chrispine. B. Factors associated with documentation of fluid intake and output in post-operative patients at Mansa General Hospital .

Degree: 2016, University of Zambia

URL: http://dspace.unza.zm:8080/xmlui/handle/123456789/4928

► Introduction: Ensuring patients are adequately hydrated is an essential part of nursing care but the performance assessment and nursing audit reports demonstrated a gap in… (more)

▼ Introduction: Ensuring patients are adequately hydrated is an essential part of nursing care but the performance assessment and nursing audit reports demonstrated a gap in the documentation of the post-operative patients fluid balance charts at Mansa General Hospital (MGH). The main objective of the study was to evaluate factors affecting documentation of intake and output on the fluid balance charts in post-operative patients at MGH. Methods: This was a hospital based descriptive cross-sectional study with a quantitative approach conducted at Mansa General Hospital. Following the approval of the research by ERES Converge, data was collected from a total sample of 53 nurses and midwives working in four surgical wards. To check for completeness of the documentation of the intake and output charts, a checklist was developed and a total of 319 intake and output charts of postoperative patients admitted to surgical wards between January and June 2015. Analysis of data was done using STATA version 13.0 for windows. Frequency tables, cross tabulations and percentages were used to present the simple descriptive statistics. Pearson chi-square test was used to test associations between documentation of intake and output on fluid balance charts and several key independent variables expected to influence the dependent variable. A semi-structured interview schedule and audit tool were used for data collection, Pearson’s chi-squared test was used to assess the relationship among variables. Results: The Pearson chi-square test was 3.3673 while the p-value was 0.408 indicating a non-statistically significant relationship. The results showed that service of 5 years and above, high knowledge on documentation and working in the maternity ward were associated with documenting fluid intake and output (P < 0.01, P<0.02 and P<0.04 respectively) at 5%. The findings show that 59% of the patients charts had the patients name, 89% had the patients age and sex respectively. Eighty three percent (83%) of the fluid balance charts had names of the ward recorded on them, 86% had a date of admission, 7% percent had a bed number and 44% had a patient’s diagnosis indicated. Most (97%) of the patients fluid balance charts had the name of the fluid administered, 94% had time of commencement, amount of fluid given (96%) and output indicated. The other parameters indicated on the fluid balance charts included the nurses and midwives shift balance (21%) flow rate (5%) and the doctor’s name (6%). viii Conclusions: The findings indicates a gap in the documentation of fluid intake and output among post-operative patients at Mansa General Hospital. Long period of service and high levels of knowledge significantly increase the probability of documentation. Recommendations: Refresher courses targeting all nurses and midwives, with a special focus on the importance of documentation of intake and output should be introduced. Management should advocate for increased number of nurses and midwives on the staff establishment,…

Subjects/Keywords: Rehydration Solutions – therapeutic use.; Therapeutics, Surgical.; Fluid therapy.; Nursing Care.

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APA (6^th Edition):

Mwila, C. B. (2016). Factors associated with documentation of fluid intake and output in post-operative patients at Mansa General Hospital . (Thesis). University of Zambia. Retrieved from http://dspace.unza.zm:8080/xmlui/handle/123456789/4928

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Mwila, Chrispine B. “Factors associated with documentation of fluid intake and output in post-operative patients at Mansa General Hospital .” 2016. Thesis, University of Zambia. Accessed March 03, 2021. http://dspace.unza.zm:8080/xmlui/handle/123456789/4928.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Mwila, Chrispine B. “Factors associated with documentation of fluid intake and output in post-operative patients at Mansa General Hospital .” 2016. Web. 03 Mar 2021.

Vancouver:

Mwila CB. Factors associated with documentation of fluid intake and output in post-operative patients at Mansa General Hospital . [Internet] [Thesis]. University of Zambia; 2016. [cited 2021 Mar 03]. Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4928.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Mwila CB. Factors associated with documentation of fluid intake and output in post-operative patients at Mansa General Hospital . [Thesis]. University of Zambia; 2016. Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4928

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of the Western Cape

9. Settley, Chantal. Perceptions of patients on the fulfilment of their basic needs while receiving surgical emergency care .

Degree: 2016, University of the Western Cape

URL: http://hdl.handle.net/11394/5618

► Academic hospitals do recognise that all patients have basic human needs. Nurses have been obliged to pay attention to conditions that destabilise patient's health. An… (more)

▼ Academic hospitals do recognise that all patients have basic human needs. Nurses have been obliged to pay attention to conditions that destabilise patient's health. An academic hospital in the Western Cape is dedicated to living up to its vision to deliver excellent nursing services, which include the fulfilment of the basic needs of patients who are making use of surgical emergency department. Emergency surgical departments should be created in a manner that provides safety and comfort to patients. Patient satisfaction is influenced by the manner in which their expectations about the successful addressing of their basic needs are met. At the moment, the extent of meeting these basic needs during the delivery of nursing care in the surgical emergency department of the academic hospital is unclear. The purpose of this study was to explore and describe the perceptions of patients about the fulfilment of their basic needs during nursing care in a surgical emergency department at an academic hospital in the Western Cape. The study was conducted according to a quantitative non-experimental descriptive survey design. A convenience sampling method was used to select patients (n = 150) after they were discharged from a surgical emergency department. A self-administered questionnaire was compiled within the framework of Alderfer's theory, with closed and a few open questions, that was for distribution to respondents. Descriptive statistics were extracted. The responses to items were indicated on a continuum starting at 1 (never) to 7 (always) on a 5-point Likert scale. Respondents signed informed consent before they completed the instrument in a private room that took around 30 minutes. In this study, validity and reliability were maintained during the research process, and ethical principles were adhered to. Descriptive data was presented through mean values and standard deviations and a factor analysis performed. The findings were presented according to six factors that indicated that the responses varied on the basic existence, relatedness and growth needs of patients in a surgical emergency unit. From the findings, recommendation was described for the operational nursing managers in the surgical emergency department to take action during addressing patients' basic needs in the delivery of nursing care. It can be concluded that patients perceive that many of their basic needs are not being met while receiving surgical emergency care. Advisors/Committee Members: Jooste, Karien (advisor).

Subjects/Keywords: Basic needs; Nursing care; Patients; Academic hospital; Surgical emergency department

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APA (6^th Edition):

Settley, C. (2016). Perceptions of patients on the fulfilment of their basic needs while receiving surgical emergency care . (Thesis). University of the Western Cape. Retrieved from http://hdl.handle.net/11394/5618

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Settley, Chantal. “Perceptions of patients on the fulfilment of their basic needs while receiving surgical emergency care .” 2016. Thesis, University of the Western Cape. Accessed March 03, 2021. http://hdl.handle.net/11394/5618.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Settley, Chantal. “Perceptions of patients on the fulfilment of their basic needs while receiving surgical emergency care .” 2016. Web. 03 Mar 2021.

Vancouver:

Settley C. Perceptions of patients on the fulfilment of their basic needs while receiving surgical emergency care . [Internet] [Thesis]. University of the Western Cape; 2016. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/11394/5618.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Settley C. Perceptions of patients on the fulfilment of their basic needs while receiving surgical emergency care . [Thesis]. University of the Western Cape; 2016. Available from: http://hdl.handle.net/11394/5618

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Boston University

10. Sullivan, Julia A. A study of the medical-surgical patient's expectations of nursing care.

Degree: MS, Nursing, 1958, Boston University

URL: http://hdl.handle.net/2144/22053

Subjects/Keywords: Nursing care; Surgical patients

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APA (6^th Edition):

Sullivan, J. A. (1958). A study of the medical-surgical patient's expectations of nursing care. (Masters Thesis). Boston University. Retrieved from http://hdl.handle.net/2144/22053

Chicago Manual of Style (16^th Edition):

Sullivan, Julia A. “A study of the medical-surgical patient's expectations of nursing care.” 1958. Masters Thesis, Boston University. Accessed March 03, 2021. http://hdl.handle.net/2144/22053.

MLA Handbook (7^th Edition):

Sullivan, Julia A. “A study of the medical-surgical patient's expectations of nursing care.” 1958. Web. 03 Mar 2021.

Vancouver:

Sullivan JA. A study of the medical-surgical patient's expectations of nursing care. [Internet] [Masters thesis]. Boston University; 1958. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/2144/22053.

Council of Science Editors:

Sullivan JA. A study of the medical-surgical patient's expectations of nursing care. [Masters Thesis]. Boston University; 1958. Available from: http://hdl.handle.net/2144/22053

Uppsala University

11. Afra, Elnas. Patienters upplevelse av utskrivning till hemmet från en dagkirurgisk enhet : En intervjustudie.

Degree: Public Health and Caring Sciences, 2011, Uppsala University

URL: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-156206

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Syfte: Att beskriva dagkirurgiska patienters upplevelse av att bli utskrivna hem samma dag efter operation utförd i generell anestesi. Metod: Kvalitativ intervjustudie med induktiv… (more)

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Syfte: Att beskriva dagkirurgiska patienters upplevelse av att bli utskrivna hem samma dag efter operation utförd i generell anestesi. Metod: Kvalitativ intervjustudie med induktiv ansats. Elva patienter som har opererats via en handkirurgisk mottagning i mellersta Sverige har intervjuats utifrån en semistrukturerad intervjuguide. Sju kvinnor och fyra män i åldrarna mellan 28-71 år har deltagit i studien. Innehållsanalys användes för analys av materialet. Resultat: Patienterna upplevde hemgången som väldigt positiv. De faktorer som bidrog till en lyckad hemgång var framförallt; Patientens goda grundhälsa, en trygg hemmiljö att återvända till och återhämta sig i, samt att patienterna får sina frågor och funderingar besvarade inför hemgången, och stöd från anhöriga. Vårdpersonalens bemötande och professionella förhållningssätt bidrog till att patienterna upplevde en känsla av trygghet som skapade en förutsättning för delaktighet. Resultatet visar även att patienter önskar mer information om det postoperativa förloppet. Slutsats: Att skrivas ut och komma hem efter ett dagkirurgiskt ingrepp är en positiv upplevelse för patienterna, dock behöver informationen inför hemgången samt möjligheten till stöd från den dagkirurgiska enheten efter hemgången förbättras.

Aim: To describe the day-surgery patients´ experience to be discharge the same day after surgery in general anesthesia. Methods: Qualitative interview study with inductive approach. Eleven patients, operated by a hand surgical receptions in central Sweden were interviewed, using a semi- structured interview guide. Seven women and four men between 28-71 years participated in the study. Content analysis was used for analysis of the material. Result: Patients experienced the discharge as very positive. The factors which contributed to a successful discharge was above all, patient good basic health, a safe home to return to and recover in, and that the patients have their questions and concerns answered before discharge, and the support from relatives. Health professionals' reception and professional approach helped the patients to feel a sense of security that created a condition for participation. The results also show that patients want more information about the postoperative recovery. Conclusions: To be discharged, and come home, after day surgery procedures is a positive experience for patients, however, the information at discharge and the possibility of support from the day surgery unit after discharge needs to improve.

Subjects/Keywords: Ambulatory surgical procedures; patient discharge; day care; Dagkirurgi; patientutskrivning; dagvård

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Afra, E. (2011). Patienters upplevelse av utskrivning till hemmet från en dagkirurgisk enhet : En intervjustudie. (Thesis). Uppsala University. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-156206

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Afra, Elnas. “Patienters upplevelse av utskrivning till hemmet från en dagkirurgisk enhet : En intervjustudie.” 2011. Thesis, Uppsala University. Accessed March 03, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-156206.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Afra, Elnas. “Patienters upplevelse av utskrivning till hemmet från en dagkirurgisk enhet : En intervjustudie.” 2011. Web. 03 Mar 2021.

Vancouver:

Afra E. Patienters upplevelse av utskrivning till hemmet från en dagkirurgisk enhet : En intervjustudie. [Internet] [Thesis]. Uppsala University; 2011. [cited 2021 Mar 03]. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-156206.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Afra E. Patienters upplevelse av utskrivning till hemmet från en dagkirurgisk enhet : En intervjustudie. [Thesis]. Uppsala University; 2011. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-156206

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Sydney

12. Eyles, Jillian. Can clinical presentation predict response to a non-surgical chronic disease management program for hip and knee osteoarthritis? .

Degree: 2018, University of Sydney

URL: http://hdl.handle.net/2123/20167

► Osteoarthritis (OA) is a leading cause of global disability. International guidelines make clear recommendations for evidence-based OA management. However, there is considerable discrepancy between these… (more)

▼ Osteoarthritis (OA) is a leading cause of global disability. International guidelines make clear recommendations for evidence-based OA management. However, there is considerable discrepancy between these recommendations and the actual care received by patients. Osteoarthritis management programs (OAMPs) aim to address this evidence-practice gap. There is evidence that some participants improve in pain and function following OAMPs, however, others fail to accomplish these gains. The ability to predict patient outcomes would enable targeting these programs at those people most likely to demonstrate improvement. This Thesis addresses the question: ‘Can clinical presentation can predict response to an OAMP?’ Five studies were conducted to address this question. Two longitudinal cohort studies examined the relationships between participant characteristics and changes in pain and function following 26 weeks of an OAMP. Significant predictors included: sex; knee as treatment joint (vs hip); and total joint arthroplasty (TJR) waitlist status. However, the regression models were not sufficiently sensitive to correctly classify ‘responders’ or ‘worseners’. We then examined patients’ attitudes and capabilities towards OA self-management as a construct that could potentially predict OAMP outcomes. We conducted a systematic review that aimed to identify the instrument assessing OA self-management attitudes and capabilities with the “best” measurement properties. From this review, little extant measurement property evidence was found to recommend any instrument. The fourth study examined the measurement properties of the Patient Activation Measure (PAM-13) in a cross-sectional cohort study. The fifth study examined the relationships between PAM-13 and changes in pain and function. PAM-13 scores were not associated with changes in pain or function following 12 or 26 weeks of the OAMP. Other variables that were independent predictors of outcomes were the Timed-Up-and-Go and employment status. It is difficult to determine who will improve or worsen in an OAMP. This Thesis did identify some patient characteristics that were predictors of response, however, these findings should be replicated in larger cohorts.

Subjects/Keywords: osteoarthritis; predictor; non-surgical; coordinated care; self-management

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Eyles, J. (2018). Can clinical presentation predict response to a non-surgical chronic disease management program for hip and knee osteoarthritis? . (Thesis). University of Sydney. Retrieved from http://hdl.handle.net/2123/20167

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Eyles, Jillian. “Can clinical presentation predict response to a non-surgical chronic disease management program for hip and knee osteoarthritis? .” 2018. Thesis, University of Sydney. Accessed March 03, 2021. http://hdl.handle.net/2123/20167.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Eyles, Jillian. “Can clinical presentation predict response to a non-surgical chronic disease management program for hip and knee osteoarthritis? .” 2018. Web. 03 Mar 2021.

Vancouver:

Eyles J. Can clinical presentation predict response to a non-surgical chronic disease management program for hip and knee osteoarthritis? . [Internet] [Thesis]. University of Sydney; 2018. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/2123/20167.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Eyles J. Can clinical presentation predict response to a non-surgical chronic disease management program for hip and knee osteoarthritis? . [Thesis]. University of Sydney; 2018. Available from: http://hdl.handle.net/2123/20167

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Xavier University

13. Pettit, Cynthia S., Pettit. Evaluation of Use of the Psychosocial Assessment Tool (PAT) with Pediatric Surgical Patients.

Degree: Doctor of Nursing Practice Degree Program in Population Health Leadership DNP, Nursing, 2018, Xavier University

URL: http://rave.ohiolink.edu/etdc/view?acc_num=xavier1524410057142837

► Psychosocial risks factors have been identified as having an impact on pediatric surgical health outcomes. Risk stratification is one methodology used in medical care to… (more)

▼ Psychosocial risks factors have been identified as having an impact on pediatric surgical health outcomes. Risk stratification is one methodology used in medical care to identify those patients requiring intensive interventions. Stratifying patients with psychosocial risk factors and applying appropriate interventions may be a modality to improve health outcomes. There are few tools in the literature to assess for psychosocial risk in for pediatric patients but the Psychosocial Assessment Tool (PAT) appears to be a promising tool. The PAT evaluates and stratifies psychosocial risk of the child from the perspective of a family dynamic. This DNP project is a feasibility pilot project using a convenience sample of potential pediatric tonsillectomy patients. The purpose of this project was to assess the feasibility of the use of the PAT in this population. The PAT was tested against the current practice of assessment for psychosocial risk to determine if there was an improvement in identification of psychosocial risk in potential and to determine if its use was feasible in an outpatient surgical clinic setting. Feasibility was determined by time to complete and impact to flow. The completion time for this population took longer than other reported studies, which was cited with completions between five to ten minutes. In this DNP project, only 60% of the participants completed the PAT in under ten minutes. Negative impact to flow occured 51.4% of the time. The PAT was more effective than the current assessment in identifying psychosocial risk. The differences in proportions of the paired samples were determined to be statistically significant utilizing the McNemar’s nonparametric test for differences in proportions at al level of significance p<0.05, with p= .022. In light of the impact of psychosocial risks and their relationship to poor health outcomes and the information gained by the PAT, future projects or studies are needed to address the issue of impact to flow, such as adapting the tool to reduce the length of completion. Advisors/Committee Members: Allen , Susie (Committee Chair), Toole , Kimberly (Committee Co-Chair).

Subjects/Keywords: Nursing; Health Care; psychosocial risk; Psychosocial Assessment tool; pediatric surgical patients

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Pettit, Cynthia S., P. (2018). Evaluation of Use of the Psychosocial Assessment Tool (PAT) with Pediatric Surgical Patients. (Doctoral Dissertation). Xavier University. Retrieved from http://rave.ohiolink.edu/etdc/view?acc_num=xavier1524410057142837

Chicago Manual of Style (16^th Edition):

Pettit, Cynthia S., Pettit. “Evaluation of Use of the Psychosocial Assessment Tool (PAT) with Pediatric Surgical Patients.” 2018. Doctoral Dissertation, Xavier University. Accessed March 03, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1524410057142837.

MLA Handbook (7^th Edition):

Pettit, Cynthia S., Pettit. “Evaluation of Use of the Psychosocial Assessment Tool (PAT) with Pediatric Surgical Patients.” 2018. Web. 03 Mar 2021.

Vancouver:

Pettit, Cynthia S. P. Evaluation of Use of the Psychosocial Assessment Tool (PAT) with Pediatric Surgical Patients. [Internet] [Doctoral dissertation]. Xavier University; 2018. [cited 2021 Mar 03]. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=xavier1524410057142837.

Council of Science Editors:

Pettit, Cynthia S. P. Evaluation of Use of the Psychosocial Assessment Tool (PAT) with Pediatric Surgical Patients. [Doctoral Dissertation]. Xavier University; 2018. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=xavier1524410057142837

Rhode Island College

14. Heath, Jason C. Surgical Skills for the APRN Student: A Low-Fidelity Simulation Experience.

Degree: 2014, Rhode Island College

URL: https://digitalcommons.ric.edu/etd/237

► There are many contemporary areas of practice available to the ACNP to date that encompass a surgical component of practice. Surgical specialty settings require… (more)

Subjects/Keywords: Health care, Public health; Other Education; Perioperative, Operating Room and Surgical Nursing; surgical skills; simulation; knowledge; education; ACNP

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Heath, J. C. (2014). Surgical Skills for the APRN Student: A Low-Fidelity Simulation Experience. (Thesis). Rhode Island College. Retrieved from https://digitalcommons.ric.edu/etd/237

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Heath, Jason C. “Surgical Skills for the APRN Student: A Low-Fidelity Simulation Experience.” 2014. Thesis, Rhode Island College. Accessed March 03, 2021. https://digitalcommons.ric.edu/etd/237.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Heath, Jason C. “Surgical Skills for the APRN Student: A Low-Fidelity Simulation Experience.” 2014. Web. 03 Mar 2021.

Vancouver:

Heath JC. Surgical Skills for the APRN Student: A Low-Fidelity Simulation Experience. [Internet] [Thesis]. Rhode Island College; 2014. [cited 2021 Mar 03]. Available from: https://digitalcommons.ric.edu/etd/237.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Heath JC. Surgical Skills for the APRN Student: A Low-Fidelity Simulation Experience. [Thesis]. Rhode Island College; 2014. Available from: https://digitalcommons.ric.edu/etd/237

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Stellenbosch University

15. Van Nes, Michelle Beatriz. Perception of physiotherapy care in a surgical ICU : the patients’ perspectives.

Degree: MScPhysio, Interdisciplinary Health Sciences, 2016, Stellenbosch University

URL: http://hdl.handle.net/10019.1/98509

► ENGLISH ABSTRACT: INTRODUCTION: Physiotherapy practice in the intensive care unit (ICU) is changing. Early mobilisation programmes are included and prioritised. Methods and measures to assess… (more)

▼ ENGLISH ABSTRACT: INTRODUCTION: Physiotherapy practice in the intensive care unit (ICU) is changing. Early mobilisation programmes are included and prioritised. Methods and measures to assess physiotherapy effectiveness in the ICU have often been geared to physiological data. It is unclear if the patients’ perspectives and satisfaction regarding care in the ICU have been investigated, specifically with regard to physiotherapy. METHODS: A scoping review was undertaken with the aim of determining how patient perception and satisfaction regarding critical care is measured. Seven databases were searched using various combinations of selected keywords for the process of identification. The review results informed the planning of the primary study. A primary qualitative study was conducted to describe patients’ perceptions and satisfaction with regard to physiotherapy care received during their surgical ICU stay. Patients were included via purposive sampling into the primary study. Audiotaped, semi-structured interviews of 25-60 minutes each were completed with the included patients. Data was transcribed and then analysed via inductive and interpretive content analysis. Trustworthiness of results was ensured through reflexivity, checking of transcriptions, peer review and member checking. RESULTS: A total of 1 631 hits were reduced to 28 studies, which were included into the scoping review. Only two studies were conducted in Africa compared with ten in Europe and seven in Northern America. Ten of the included studies investigated a particular service such as nursing care, emergency care and physiotherapy with regard to patient perception and satisfaction. Only one article, published in 2008, investigated patient satisfaction in physiotherapy. Various outcome measures that measure perception and/or satisfaction were identified; however, there is currently no validated and reliable instrument to assess patient satisfaction with care in the ICU. Eighteen patients, of which ten patients were male, were purposefully selected for the primary study. The median patient age was 44 years and the median ICU length of stay was six days. Twelve themes arose from the data analysis, including: 1) patient expectations and understanding; 2) physiotherapy activities and the implication of mobilisation; 3) physiotherapy benefits and progression; 4) physiotherapy value; 5) interdisciplinary team; 6) the physiotherapist; 7) safety; 8) tangebilities; 9) continuity of care; 10) satisfaction; 11) communication; and 12) patient perception and experience. These themes as well as key messages, future research and contributions to literature were discussed. Barriers and facilitators for the relevant themes were also discussed. CONCLUSION: While there is no gold standard for measuring patient perception and satisfaction regarding ICU care, it can and should be measured. With current and on-going changes to both physiotherapy and ICU care practices, patients can share their experiences of the ICU with greater ease.… Advisors/Committee Members: Karachi, Farhana, Hanekom, Susan D., Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Interdisciplinary Health Sciences. Physiotherapy..

Subjects/Keywords: UCTD; Intensive care units – Patients – Physical therapy; Surgical intensive care – Patients – Physical therapy; Outcome assessment (Medical care); Patients satisfaction

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Van Nes, M. B. (2016). Perception of physiotherapy care in a surgical ICU : the patients’ perspectives. (Masters Thesis). Stellenbosch University. Retrieved from http://hdl.handle.net/10019.1/98509

Chicago Manual of Style (16^th Edition):

Van Nes, Michelle Beatriz. “Perception of physiotherapy care in a surgical ICU : the patients’ perspectives.” 2016. Masters Thesis, Stellenbosch University. Accessed March 03, 2021. http://hdl.handle.net/10019.1/98509.

MLA Handbook (7^th Edition):

Van Nes, Michelle Beatriz. “Perception of physiotherapy care in a surgical ICU : the patients’ perspectives.” 2016. Web. 03 Mar 2021.

Vancouver:

Van Nes MB. Perception of physiotherapy care in a surgical ICU : the patients’ perspectives. [Internet] [Masters thesis]. Stellenbosch University; 2016. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/10019.1/98509.

Council of Science Editors:

Van Nes MB. Perception of physiotherapy care in a surgical ICU : the patients’ perspectives. [Masters Thesis]. Stellenbosch University; 2016. Available from: http://hdl.handle.net/10019.1/98509

University of Johannesburg

16. Towell, Amanda Jane. A preparation programme for learners of the diploma in medical and surgical nursing sciences: critical care (general).

Degree: 2008, University of Johannesburg

URL: http://hdl.handle.net/10210/1692

►

M.Cur

To be able to nurse effectively in a critical care unit, a nurse needs to have extensive theoretical knowledge, excellent clinical skills and a… (more)

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M.Cur

To be able to nurse effectively in a critical care unit, a nurse needs to have extensive theoretical knowledge, excellent clinical skills and a certain degree of technological knowledge. The Diploma in Critical Care offered at higher educational institutions, in collaboration with private/public health delivery institutions within South Africa, aims to equip nurses with the necessary knowledge and clinical skills they need to work in this stressful and complex environment. Learners found that during the programme for the Diploma in Critical Care they were faced with a large amount of stress and demotivation due to reasons such as not being treated like an adult, the increased workload and the demands of the theoretical and clinical programmes. Some learners were faced with theoretical and clinical challenges and felt that they needed to be prepared for academic work at a higher educational institution, some found that they experienced emotional stress due to a lack of knowledge and the responsibility of being delegated to nurse critically ill patients. If a learner is unable to succeed in the programme the first time there are financial implications for the learner, the higher educational institution and the health delivery institution. It was previously thought that prior experience in a critical care unit was sufficient preparation to succeed in the critical care programme, but not all learners are exposed to the same learning opportunities prior to commencing with the programme and therefore learners do not enter the programme with the same knowledge base. There are also various factors that influence the learner during the programme. A private health group in Gauteng implemented the successful completion of a clinical skills workbook as part of the requirements for learners registering for the Diploma in Critical Care. The workbook focuses on the attainment of basic clinical skills that are required to be able to work in a critical care unit and not on basic theoretical knowledge. In view of the above it remains unclear whether the clinical skills workbook implemented by a specific private health care group is sufficient preparation for a learner prior to commencing with the critical care programme. The aim of this study is to determine whether the completion of a critical care pre-programme study guide will make a significant difference in the success of learners from a private health group in Gauteng who register for the Diploma in Critical Care at a specific higher educational institution. To achieve this goal the following objectives were stated: 1. Develop a pre-programme study guide. 2. Implement the pre-programme study guide. 3. Determine if the completion of a critical care pre-programme study guide makes a significant difference to the success of learners from a specific private health care delivery group during the Diploma in Medical & Surgical Nursing Science: Critical Care Nursing (General). To achieve the goal of the study, a quantitative, quasi-experimental and correlational design will be…

Subjects/Keywords: Critical care medicine; Intensive care nursing; Surgical intensive care

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Towell, A. J. (2008). A preparation programme for learners of the diploma in medical and surgical nursing sciences: critical care (general). (Thesis). University of Johannesburg. Retrieved from http://hdl.handle.net/10210/1692

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Towell, Amanda Jane. “A preparation programme for learners of the diploma in medical and surgical nursing sciences: critical care (general).” 2008. Thesis, University of Johannesburg. Accessed March 03, 2021. http://hdl.handle.net/10210/1692.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Towell, Amanda Jane. “A preparation programme for learners of the diploma in medical and surgical nursing sciences: critical care (general).” 2008. Web. 03 Mar 2021.

Vancouver:

Towell AJ. A preparation programme for learners of the diploma in medical and surgical nursing sciences: critical care (general). [Internet] [Thesis]. University of Johannesburg; 2008. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/10210/1692.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Towell AJ. A preparation programme for learners of the diploma in medical and surgical nursing sciences: critical care (general). [Thesis]. University of Johannesburg; 2008. Available from: http://hdl.handle.net/10210/1692

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

17. 船原, まどか. Efficacy of topical antibiotic administration on the inhibition of perioperative oral bacterial growth in oral cancer patients: a preliminary study : 抗菌薬局所投与による口腔がん術後患者の口腔内細菌数増殖抑制効果：予備的研究.

Degree: 博士(歯学), 2016, Nagasaki University / 長崎大学

URL: http://hdl.handle.net/10069/36834

► Parenteral antibiotic prophylaxis is the current standard of therapy in cleancontaminated oral cancer surgery. Nevertheless, the incidence of surgical site infection (SSI) in oral oncological… (more)

Subjects/Keywords: surgical site infection; topical administration of antibiotics; oral cancer surgery; oral care; oral bacteria

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APA (6^th Edition):

船原, �. (2016). Efficacy of topical antibiotic administration on the inhibition of perioperative oral bacterial growth in oral cancer patients: a preliminary study : 抗菌薬局所投与による口腔がん術後患者の口腔内細菌数増殖抑制効果：予備的研究. (Thesis). Nagasaki University / 長崎大学. Retrieved from http://hdl.handle.net/10069/36834

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

船原, まどか. “Efficacy of topical antibiotic administration on the inhibition of perioperative oral bacterial growth in oral cancer patients: a preliminary study : 抗菌薬局所投与による口腔がん術後患者の口腔内細菌数増殖抑制効果：予備的研究.” 2016. Thesis, Nagasaki University / 長崎大学. Accessed March 03, 2021. http://hdl.handle.net/10069/36834.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

船原, まどか. “Efficacy of topical antibiotic administration on the inhibition of perioperative oral bacterial growth in oral cancer patients: a preliminary study : 抗菌薬局所投与による口腔がん術後患者の口腔内細菌数増殖抑制効果：予備的研究.” 2016. Web. 03 Mar 2021.

Vancouver:

船原 �. Efficacy of topical antibiotic administration on the inhibition of perioperative oral bacterial growth in oral cancer patients: a preliminary study : 抗菌薬局所投与による口腔がん術後患者の口腔内細菌数増殖抑制効果：予備的研究. [Internet] [Thesis]. Nagasaki University / 長崎大学; 2016. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/10069/36834.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

船原 �. Efficacy of topical antibiotic administration on the inhibition of perioperative oral bacterial growth in oral cancer patients: a preliminary study : 抗菌薬局所投与による口腔がん術後患者の口腔内細菌数増殖抑制効果：予備的研究. [Thesis]. Nagasaki University / 長崎大学; 2016. Available from: http://hdl.handle.net/10069/36834

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

18. Lopes, Camila Mendonça de Moraes. Posicionamento cirúrgico: evidências para o cuidado de enfermagem.

Degree: Mestrado, Enfermagem Fundamental, 2009, University of São Paulo

URL: http://www.teses.usp.br/teses/disponiveis/22/22132/tde-18082009-125209/ ;

►

O enfermeiro perioperatório é responsável pelo planejamento e implementação de intervenções de enfermagem que minimizam ou possibilitam a prevenção de complicações aos pacientes decorrentes do… (more)

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O enfermeiro perioperatório é responsável pelo planejamento e implementação de intervenções de enfermagem que minimizam ou possibilitam a prevenção de complicações aos pacientes decorrentes do procedimento anestésico-cirúrgico. O posicionamento cirúrgico tem como principal finalidade promover o acesso ao local a ser operado e deve ser realizado de forma correta para garantir a segurança e o conforto do paciente e prevenir complicações pós-operatórias. A Prática Baseada em Evidências é uma abordagem que integra as evidências disponíveis, a competência clínica do profissional e as preferências do paciente para a tomada de decisão sobre o cuidado a saúde, sendo selecionada como referencial teórico. O presente estudo teve como objetivo buscar e avaliar as evidências disponíveis na literatura sobre os cuidados de enfermagem relacionados ao posicionamento cirúrgico do paciente adulto no período intra-operatório. O método de pesquisa adotado foi a revisão integrativa da literatura. Para a seleção dos artigos utilizamos as bases de dados PUBMED, CINAHL e LILACS. A amostra constitui-se de 20 artigos. Em relação ao nível de evidência, dos 20 estudos analisados apenas um apresentou nível de evidência forte (nível II), um estudo é considerado com nível de evidência moderada (nível III) e oito com evidências fracas (nível VI e VII). Atrelado a essa situação os outros 10 estudos (revisão narrativa de literatura) não têm classificação de acordo com o sistema hierárquico adotado. Na síntese das evidências disponíveis dos estudos incluídos na revisão, constatamos que estes enfocaram três tópicos principais, a saber: os fatores de risco para o desenvolvimento de complicações; as complicações decorrentes do posicionamento cirúrgico e os cuidados de enfermagem relacionados ao posicionamento cirúrgico do paciente. A presente revisão integrativa fornece ao leitor informações detalhadas sobre os tópicos mencionados, além de disponibilizar a tradução de um modelo de protocolo direcionado ao posicionamento, movimentação, elevação e transporte do paciente no ambiente perioperatório, o qual foi elaborado pela Association of periOperative Registered Nurses. Esperamos que os resultados evidenciados neste estudo contribuam para a melhoria da qualidade da assistência prestada ao paciente cirúrgico, pois a sua condução teve como propósitos facilitar o acesso às evidências disponíveis sobre os cuidados de enfermagem no posicionamento cirúrgico, esclarecer dúvidas relacionadas a esta prática e incentivar o desenvolvimento de protocolos de cuidados voltados ao posicionamento a serem disponibilizados para todos os profissionais envolvidos no atendimento do paciente no período perioperatório.

The perioperative nurse is responsible for planning and implementation of nursing interventions to minimize or prevent possible complications to patients from arising during anesthetic and surgical procedures. The main purpose of surgical positioning is to promote access to the surgical site and must be done correctly to ensure safety and comfort of the patient…

Advisors/Committee Members: Galvao, Cristina Maria.

Subjects/Keywords: cuidados de enfermagem.; intraoperative period; nursing care; período intra-operatório; posicionamento cirúrgico; surgical positioning

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Lopes, C. M. d. M. (2009). Posicionamento cirúrgico: evidências para o cuidado de enfermagem. (Masters Thesis). University of São Paulo. Retrieved from http://www.teses.usp.br/teses/disponiveis/22/22132/tde-18082009-125209/ ;

Chicago Manual of Style (16^th Edition):

Lopes, Camila Mendonça de Moraes. “Posicionamento cirúrgico: evidências para o cuidado de enfermagem.” 2009. Masters Thesis, University of São Paulo. Accessed March 03, 2021. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-18082009-125209/ ;.

MLA Handbook (7^th Edition):

Lopes, Camila Mendonça de Moraes. “Posicionamento cirúrgico: evidências para o cuidado de enfermagem.” 2009. Web. 03 Mar 2021.

Vancouver:

Lopes CMdM. Posicionamento cirúrgico: evidências para o cuidado de enfermagem. [Internet] [Masters thesis]. University of São Paulo; 2009. [cited 2021 Mar 03]. Available from: http://www.teses.usp.br/teses/disponiveis/22/22132/tde-18082009-125209/ ;.

Council of Science Editors:

Lopes CMdM. Posicionamento cirúrgico: evidências para o cuidado de enfermagem. [Masters Thesis]. University of São Paulo; 2009. Available from: http://www.teses.usp.br/teses/disponiveis/22/22132/tde-18082009-125209/ ;

Addis Ababa University

19. Nigatu, Endalafer. susceptibility patterns in surgical wards and surgical Intensive care unit (SICU) of Tikur Anbessa University Hospital Addis Ababa, Ethiopia.

Degree: 2012, Addis Ababa University

URL: http://etd.aau.edu.et/dspace/handle/123456789/2934

► Background: Nosocomial infections are defined as infections which are not present or not incubating when the patient is hospitalized and are acquired during hospital stay.… (more)

▼ Background: Nosocomial infections are defined as infections which are not present or not incubating when the patient is hospitalized and are acquired during hospital stay. Sign and symptoms of the infection may be evident during hospitalization or after discharge related to the length of the incubation period. It is usually defined as an infection that is identified at least 48-72 hours following admission to health institution. Infections acquired in hospital are likely to complicate illness, cause anxiety and discomfort, and can lead to death. Nosocomial infection is a global problem with multi facet out comes. The problem is well pronounced in developing countries. Epidemiological and etiological characteristics of nosocomial infections show variations among countries and even among different hospitals in the same country. Many of these infections are associated with micro-organisms that are resistant to multiple antibiotics and can easily spread on the hands of personnel. The most frequent types of nosocomial infections are urinary-tract infection, surgical-wound infection, pneumonia, and bloodstream infection. At present, the emergence of resistance to antimicrobial agents is a global public health problem, particularly in pathogens causing nosocomial infections. Antimicrobial resistance results in increased morbidity, mortality and health-care costs. Objective: To determine the prevalence, etiological agents and drug susceptibility pattern of nosocomial infections at Tikur Anbessa University Hospital. Methods: A cross-sectional study was conducted from June 2007 to April 2008 at Tikur Anbessa University Hospital, Addis Ababa, Ethiopia. During the study, all adult patients admitted to surgical wards and SICU with suspected of nosocomial infection were included. Among 854 patients admitted to surgical wards and SICU, 215 patients selected based on their clinical ground, after a careful clinical examination. Clinical samples were collected from the study subject and analyzed accordingly. Results: Eight hundred fifty four patients admitted to surgical ward and SICU between June 2007 and April 2008 to Tikur Anbessa University Hospital in Addis Ababa were studied for prevalence of nosocomial infections. A total of 215(25.2%) patients, were selected based on their clinical grounds from surgical wards (n=161) and SICU (n=54). The mean hospital stay from the date of admission until sample collection was 16.72 days with a range of 3 to 66 days. Of the 215 patients, 130(60.5%) were males and 85 (39.5%) were females. A total of nine percent (77/854) patients were confirmed to have nosocomial infections. Of the 77 patients, 51(66.2%) were males and 26(33.8%) females. The distribution of nosocomial infections among positive cases was surgical site infection 38(49.4%), urinary tract infections 23(29.8%) and blood stream infection 16(20.8%). The Gram-positive and negative bacteria accounted for 23/84(23.4%) and 61/84(72.6%) respectively. A total of 84 bacterial pathogens (strains) were isolated, E. coli accounted for 19.0% of… Advisors/Committee Members: Dr. Solomon Gebre-Selassie (advisor).

Subjects/Keywords: Nosocomial infection, Surgical Site Infection,; Intensive Care Unit; Urinary Tract Infection; Blood Stream Infection

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Nigatu, E. (2012). susceptibility patterns in surgical wards and surgical Intensive care unit (SICU) of Tikur Anbessa University Hospital Addis Ababa, Ethiopia. (Thesis). Addis Ababa University. Retrieved from http://etd.aau.edu.et/dspace/handle/123456789/2934

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Nigatu, Endalafer. “susceptibility patterns in surgical wards and surgical Intensive care unit (SICU) of Tikur Anbessa University Hospital Addis Ababa, Ethiopia. ” 2012. Thesis, Addis Ababa University. Accessed March 03, 2021. http://etd.aau.edu.et/dspace/handle/123456789/2934.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Nigatu, Endalafer. “susceptibility patterns in surgical wards and surgical Intensive care unit (SICU) of Tikur Anbessa University Hospital Addis Ababa, Ethiopia. ” 2012. Web. 03 Mar 2021.

Vancouver:

Nigatu E. susceptibility patterns in surgical wards and surgical Intensive care unit (SICU) of Tikur Anbessa University Hospital Addis Ababa, Ethiopia. [Internet] [Thesis]. Addis Ababa University; 2012. [cited 2021 Mar 03]. Available from: http://etd.aau.edu.et/dspace/handle/123456789/2934.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Nigatu E. susceptibility patterns in surgical wards and surgical Intensive care unit (SICU) of Tikur Anbessa University Hospital Addis Ababa, Ethiopia. [Thesis]. Addis Ababa University; 2012. Available from: http://etd.aau.edu.et/dspace/handle/123456789/2934

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of California – San Francisco

20. Kim, Kyung Mi. Pay-for-Performance to Improve the Value of Surgical Care: State of the Science and Empirical Evidence.

Degree: Nursing, 2019, University of California – San Francisco

URL: http://www.escholarship.org/uc/item/6ch2n45j

► BackgroundSurgical care comprises 30% of hospital admissions and half of overall hospital costs. Surgical complications, in particular, increase hospital costs by approximately $20,000 per admission… (more)

▼ BackgroundSurgical care comprises 30% of hospital admissions and half of overall hospital costs. Surgical complications, in particular, increase hospital costs by approximately $20,000 per admission and extend hospital stays by 9.7 days. How to improve surgical care quality and reduce costs has attracted much attention from payers and policymakers. Pay-for-performance (P4P) schemes, along with other efforts, have emerged as a key tool for improving quality at reduced cost by linking payment to performance measures.ObjectivesThe overarching aim of this dissertation is to investigate the impact of P4P programs on improving the value of care for surgical patients. To address critical gaps in the literature, three primary aims are: (1) to identify the optimal payment design that maximizes the impact of P4P programs, (2) to evaluate the effectiveness of a mandated national P4P program launched by the Centers for Medicare and Medicaid Services, and (3) to assess the potential negative consequences of P4P programs on patient outcomes. MethodsTo address Aim 1, a systematic review was conducted using five databases to understand how much variation in surgical outcomes is attributable to the design of P4P programs. Studies were selected for review based on PRISMA guidelines, and the quality of individual studies was evaluated based on the STROBE checklist. To address Aim 2, an empirical study employing a propensity score weighted difference-in-differences design was performed to evaluate the impact of P4P programs on quality and cost outcomes of surgical care. To address Aim 3, another empirical analysis, building on the same statistical design as Aim 2, was performed to investigate the unintended consequences of P4P.Results and ImplicationsThe systematic review highlighted large variation in outcomes associated with payment designs of P4P programs. The evidence regarding preferred payment designs was inconclusive due to mixed results and studies lacking rigorous designs. Future studies are needed to draw stronger inferences about the best P4P payment design.The first empirical study found that the incidence of surgical site infection, length of stay, and hospital costs decreased following the implementation of a mandated national P4P policy. Policymakers may therefore consider these findings when considering the continuation and expansion of this P4P program, and other payers may also consider implementing a similar policy. Building on this analysis, the second empirical analysis found that patients treated in low-income-serving hospitals had worsened surgical quality outcomes following the P4P policy. This highlighted the importance of monitoring for potential unintended consequences of P4P programs and indicated that solutions to addressing the quality chasm in surgical outcomes need to be developed if equity in outcomes, while improving care for all surgical patients, is to be achieved. ConclusionsP4P may be a promising strategy if designed carefully. This dissertation indicates that the increasing popularity of P4P…

Subjects/Keywords: Nursing; health disparities; health policy; pay-for-performance; quality and cost; surgical care; value

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Kim, K. M. (2019). Pay-for-Performance to Improve the Value of Surgical Care: State of the Science and Empirical Evidence. (Thesis). University of California – San Francisco. Retrieved from http://www.escholarship.org/uc/item/6ch2n45j

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Kim, Kyung Mi. “Pay-for-Performance to Improve the Value of Surgical Care: State of the Science and Empirical Evidence.” 2019. Thesis, University of California – San Francisco. Accessed March 03, 2021. http://www.escholarship.org/uc/item/6ch2n45j.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Kim, Kyung Mi. “Pay-for-Performance to Improve the Value of Surgical Care: State of the Science and Empirical Evidence.” 2019. Web. 03 Mar 2021.

Vancouver:

Kim KM. Pay-for-Performance to Improve the Value of Surgical Care: State of the Science and Empirical Evidence. [Internet] [Thesis]. University of California – San Francisco; 2019. [cited 2021 Mar 03]. Available from: http://www.escholarship.org/uc/item/6ch2n45j.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Kim KM. Pay-for-Performance to Improve the Value of Surgical Care: State of the Science and Empirical Evidence. [Thesis]. University of California – San Francisco; 2019. Available from: http://www.escholarship.org/uc/item/6ch2n45j

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Manitoba

21. Sadeh, Elham. Consolidation of Acute Care Surgical Services: learning from patient experiences.

Degree: Community Health Sciences, 2012, University of Manitoba

URL: http://hdl.handle.net/1993/5060

► Consolidation of Acute Care Surgical Services (ACSS) as a response to multiple challenges in providing timely and high-quality emergency services is a growing interest among… (more)

Subjects/Keywords: Acute Care Surgical Services; emergency services; patient experiences; consolidation of services; qualitative study; Appreciative Inquiry

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Sadeh, E. (2012). Consolidation of Acute Care Surgical Services: learning from patient experiences. (Masters Thesis). University of Manitoba. Retrieved from http://hdl.handle.net/1993/5060

Chicago Manual of Style (16^th Edition):

Sadeh, Elham. “Consolidation of Acute Care Surgical Services: learning from patient experiences.” 2012. Masters Thesis, University of Manitoba. Accessed March 03, 2021. http://hdl.handle.net/1993/5060.

MLA Handbook (7^th Edition):

Sadeh, Elham. “Consolidation of Acute Care Surgical Services: learning from patient experiences.” 2012. Web. 03 Mar 2021.

Vancouver:

Sadeh E. Consolidation of Acute Care Surgical Services: learning from patient experiences. [Internet] [Masters thesis]. University of Manitoba; 2012. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/1993/5060.

Council of Science Editors:

Sadeh E. Consolidation of Acute Care Surgical Services: learning from patient experiences. [Masters Thesis]. University of Manitoba; 2012. Available from: http://hdl.handle.net/1993/5060

22. Stupples, Caroline Elizabeth. Enhancing recovery in non-critical care emergency bowel resection.

Degree: PhD, 2016, University of Northampton

URL: https://pure.northampton.ac.uk/en/studentTheses/378a0b63-ea6b-4cfa-a284-84d6ee40bf53 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.697993

► Introduction: The aim of this study was to investigate the feasibility and safety of an enhanced recovery approach incorporating avoidance of routine post-operative nasogastric (NG)… (more)

Subjects/Keywords: 617.5; RD49 Surgical therapeutics. Preoperative and postoperative care; RD544 Colon (Anatomy). Surgery

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APA (6^th Edition):

Stupples, C. E. (2016). Enhancing recovery in non-critical care emergency bowel resection. (Doctoral Dissertation). University of Northampton. Retrieved from https://pure.northampton.ac.uk/en/studentTheses/378a0b63-ea6b-4cfa-a284-84d6ee40bf53 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.697993

Chicago Manual of Style (16^th Edition):

Stupples, Caroline Elizabeth. “Enhancing recovery in non-critical care emergency bowel resection.” 2016. Doctoral Dissertation, University of Northampton. Accessed March 03, 2021. https://pure.northampton.ac.uk/en/studentTheses/378a0b63-ea6b-4cfa-a284-84d6ee40bf53 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.697993.

MLA Handbook (7^th Edition):

Stupples, Caroline Elizabeth. “Enhancing recovery in non-critical care emergency bowel resection.” 2016. Web. 03 Mar 2021.

Vancouver:

Stupples CE. Enhancing recovery in non-critical care emergency bowel resection. [Internet] [Doctoral dissertation]. University of Northampton; 2016. [cited 2021 Mar 03]. Available from: https://pure.northampton.ac.uk/en/studentTheses/378a0b63-ea6b-4cfa-a284-84d6ee40bf53 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.697993.

Council of Science Editors:

Stupples CE. Enhancing recovery in non-critical care emergency bowel resection. [Doctoral Dissertation]. University of Northampton; 2016. Available from: https://pure.northampton.ac.uk/en/studentTheses/378a0b63-ea6b-4cfa-a284-84d6ee40bf53 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.697993

Uppsala University

23. Olsson, Daniel. Symptom patienter upplever efter dagkirurgi till följd av anestesi.

Degree: Public Health and Caring Sciences, 2015, Uppsala University

URL: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-253992

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Ambulatory surgery is common and develops alongside surgery and anesthetic methods. Time admitted is short and aftercare takes place in the home environment. Objective:… (more)

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Ambulatory surgery is common and develops alongside surgery and anesthetic methods. Time admitted is short and aftercare takes place in the home environment. Objective: The aim of the study was to investigate which symptoms patients experience after ambulatory surgery related to anesthesia. Furthermore how strongly symptoms affect the patient. Symptoms appear as a result of anesthesia and surgery and can therefore be interpreted as nursing induced suffering. Method: Participants were recruited at ambulatory clinics at a Swedish university hospital spring, 2015. Prior to the study permission was granted from the clinic managers. The study is a quantitative descriptive longitudinal study. Data collection forms were administered and data collection was performed by phone. Incisional pain, headache, neck pain, hoarseness, postoperative sore throat, nausea, drowsiness, post-discharge urine retention and numbness were requested parameters. Answers were evaluated as; none-existing, mild, moderate and severe. Data was measured at 48 hours and postoperative day seven. Result: The study included 67 participants. The various symptoms were all apparent to some extent by some of the participants at 48 hours. Concerning headache, neck pain, hoarseness, sore throat, nausea, urine retention and numbness most were symptom free. Incisional pain and drowsiness however affected the participants noticeably. Seven days after surgery there was an overall improvement throughout the parameters. Although incisional pain and drowsiness also lessened some participants still evaluated their experience moderate to severe. Conclusion: The majority of the day surgery patients were content with their care, in our study 97% were satisfied. There was an improvement within the experienced symptoms after seven days compared to after 48 hours. There is room for improvement concerning pain management and time for recovery in the home environment as drowsiness was still an evident issue.

Dagkirurgi är vanligt och drivs framåt av utvecklingen inom kirurgi och anestesi. Vårdtiden är kort och mycket av eftervården sker i hemmet. Syfte: Syftet var att undersöka vilka symptom patienter upplever efter genomgången dagkirurgi relaterat till anestesi. Vidare undersöks hur starkt olika symptom påverkar patienten. Symptom efter anestesi och kirurgi uppkommer till följd av omvårdnaden och kan därför tolkas som ett vårdlidande. Metod: Deltagare har rekryterats från dagkirurgiska avdelningar vid ett mellansvenskt universitetssjukhus våren 2015. Tillstånd inhämtades före studien från verksamhetschefer. Studien är en beskrivande kvantitativ longitudinell studie och data har samlats in med frågeformulär där svaren delgivits via telefon. Parametrarna smärta i operationsområde, huvudvärk, smärta i nacke, heshet, smärta i svalg, illamående, trötthet, urinretention samt känselbortfall har…

Subjects/Keywords: Ambulatory Surgical Procedures; postoperative symptoms; anesthesia; nursing care; Dagkirurgi; postoperativa symptom; anestesi; omvårdnad

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Olsson, D. (2015). Symptom patienter upplever efter dagkirurgi till följd av anestesi. (Thesis). Uppsala University. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-253992

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Olsson, Daniel. “Symptom patienter upplever efter dagkirurgi till följd av anestesi.” 2015. Thesis, Uppsala University. Accessed March 03, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-253992.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Olsson, Daniel. “Symptom patienter upplever efter dagkirurgi till följd av anestesi.” 2015. Web. 03 Mar 2021.

Vancouver:

Olsson D. Symptom patienter upplever efter dagkirurgi till följd av anestesi. [Internet] [Thesis]. Uppsala University; 2015. [cited 2021 Mar 03]. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-253992.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Olsson D. Symptom patienter upplever efter dagkirurgi till följd av anestesi. [Thesis]. Uppsala University; 2015. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-253992

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

24. Hellberg, Lisa. Användande av enkla eller dubbla handskar inom operationssjukvård.

Degree: The Swedish Red Cross University College, 2012, The Swedish Red Cross University College

URL: http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-276

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Bakgrund: I litteraturen finns evidens att använda dubbla lager av operationshandskar vid all kirurgi för att förebygga smittspridning mellan patient och personal samt för… (more)

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Bakgrund: I litteraturen finns evidens att använda dubbla lager av operationshandskar vid all kirurgi för att förebygga smittspridning mellan patient och personal samt för att förebygga vårdrelaterade infektioner. Operationshandskar kan ha olika tjocklek och taktil känsla beroende på latex eller latexfritt material. Trots att evidens finns att använda dubbla lager operationshandskar förekommer variation i användandet. Syfte: Syftet med studien var att undersöka om operationssjuksköterskor och kirurger väljer enkla eller dubbla handskar vid operationer, samt hur de motiverar sitt val. Metod: Operationssjuksköterskor och kirurger från två operationsavdelningar i Mellansverige undersöktes i en tvärsnittsdesign med intervjustödda enkäter. Flera deltagare intervjuades flera gånger. Resultat: Totalt inkluderades 66 deltagare i studien och 137 intervjuer genomfördes. Nästan hälften av deltagarna motiverade sitt val av handskar med rutin eller vana. Vid samtliga ortopediska operationer användes dubbla handskar. Enkelt lager av handskar användes i högre grad då endast latexfria handskar fanns att tillgå, och den dominerande motiveringen var då att det var mer svårarbetat med dubbla handskar. Slutsats och klinisk betydelse: Användandet av enkla respektive dubbla handskar skiljer sig mellan verksamheterna och mellan yrkeskategorierna. Dubbla handskar användes av samtliga deltagare på den avdelning där skriftliga riktlinjer angående dubbla handskar fanns formulerade. Enkla handskar användes i högre grad då endast latexfria handskar fanns att tillgå. Resultatet i föreliggande studie indikerar att riktlinjer angående dubbla handskar, samt latexfria handskars sämre taktila förmåga kan ha betydelse för hur operationspersonal väljer operationshandskar.

Background: In the literature, there is evidence of the usage of double layered surgical gloves during all surgical procedures in order to prevent the spread of infection between the patient and medical personnel, as well as, to prevent clinical infections. Double layered surgical gloves can have different thickness and tactile feeling depending on latex or latex-free material. Aim: To investigate if operating room nurses and surgeons choose single or double gloving for operations, as well as, how they motivate their choices. Method: Operating room nurses and surgeons from two different operation departments in the middle of Sweden were examined in a cross-sectional design with interview-supported questionnaires. Some participants were interviewed several times. Results: In total, 66 participants were included in the study and 137 interviews were conducted. Almost half of the participants motivated their choice of gloves routinely or habitually. In all orthopedic operations, double gloves were used. Conclusion and clinical implications: The usage of single as opposed to double-gloving differs between departments and between different categories of profession. The majority of participants chose to use double gloves.…

Subjects/Keywords: Surgical gloves; perioperative care; surgery; patient safety; Operationshandskar; perioperativ omvårdnad; kirurgi; patientsäkerhet; Nursing; Omvårdnad

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Hellberg, L. (2012). Användande av enkla eller dubbla handskar inom operationssjukvård. (Thesis). The Swedish Red Cross University College. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-276

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Hellberg, Lisa. “Användande av enkla eller dubbla handskar inom operationssjukvård.” 2012. Thesis, The Swedish Red Cross University College. Accessed March 03, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-276.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Hellberg, Lisa. “Användande av enkla eller dubbla handskar inom operationssjukvård.” 2012. Web. 03 Mar 2021.

Vancouver:

Hellberg L. Användande av enkla eller dubbla handskar inom operationssjukvård. [Internet] [Thesis]. The Swedish Red Cross University College; 2012. [cited 2021 Mar 03]. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-276.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Hellberg L. Användande av enkla eller dubbla handskar inom operationssjukvård. [Thesis]. The Swedish Red Cross University College; 2012. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-276

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Uppsala University

25. Rehnsfeldt, Jessica. Överensstämmelse mellan patienters och anestesisjuksköterskors bedömning av oro vid dagkirurgi : En enkätstudie.

Degree: Public Health and Caring Sciences, 2015, Uppsala University

URL: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-255512

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Bakgrund: Dagkirurgi, att opereras och gå hem samma dag, är en vårdform som har ökat markant i Sverige senaste åren. Tidigare studier har visat… (more)

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Bakgrund: Dagkirurgi, att opereras och gå hem samma dag, är en vårdform som har ökat markant i Sverige senaste åren. Tidigare studier har visat att många patienter som genomgår dagkirurgi upplever oro inför operation, vilket orsakar lidande för individen men också ökat behov av sömnmedel och ökad risk för postoperativ smärta och oro. För att kunna genomföra omvårdnadsåtgärder för att minska oro måste den först identifieras, vilket framförallt är anestesisjuksköterskans uppgift i mötet med patienten. Syfte: Att undersöka patienters skattning av sin oro vid ankomst till operationsavdelningen vid dagkirurgi samt hur väl anestesisjuksköterskans skattning av patientens oro överensstämmer med patientens egen skattning. Metod: En kvantitativ enkätstudie som genomfördes på två operationsavdelningar i Uppsala län under en veckas tid, totalt inkluderades 88 patienter och 60 anestesisjuksköterskebedömningar. Enkäten bestod av en skattningsskala för oro enligt NRS samt grundläggande demografisk information. Resultat: En stor andel patienter skattade ingen eller mild oro (n=52, 59 %) vid ankomst till operationsavdelningen. Hos 70 % av de parvisa jämförelserna bedömdes anestesisjuksköterskans förmåga att bedöma patientens oro som god. Slutsats: Anestesisjuksköterskorna var generellt bra på att bedöma patientens oro, men vid några fall missbedömdes patienter som skattade hög oro. Denna studie visar att det finns ett behov av mer studier för framtagande av rutiner och vetenskapligt beprövade och användbara instrument för att kunna identifiera dessa patienter.

Background: Ambulatory surgery, to receive surgery and go home the same day, is a form of care which has increased markedly in Sweden in recent years. Previous studies have showed that many patients undergoing ambulatory surgery experience anxiety before surgery, which causes suffering for the individual but also increases the need for hypnotics and increases risk of postoperative pain and anxiety. To be able to carry out nursing interventions aimed at reducing anxiety, it must first be identified, which is mainly the nurse anesthetist’s role in the encounter with the patient. Objective: To investigate patients' estimation of their anxiety upon arrival at the ambulatory surgery department, and how well the anesthesia nurses' estimation of the patients' anxiety are consistent with the patients' own estimation. Method: A quantitative survey conducted in two ambulatory surgery departments in Uppsala County during one week, a total of 88 patients were enrolled, and a total of 60 anesthesia nurses' assessments. The survey consisted of a scale for estimating anxiety using NRS and basic demographic information. Results: A large proportion of patients estimated no or mild anxiety (n=52, 59 %) on arrival at the surgical department. In 70 % of the pairwise comparisons the anesthesia nurses' ability to assess the patients'…

Subjects/Keywords: Nurse anesthetist; Nursing Care; Anxiety; Ambulatory surgical procedures.; Anestesisjuksköterskor; Omvårdnad; Oro; Dagkirurgi.

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Rehnsfeldt, J. (2015). Överensstämmelse mellan patienters och anestesisjuksköterskors bedömning av oro vid dagkirurgi : En enkätstudie. (Thesis). Uppsala University. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-255512

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Rehnsfeldt, Jessica. “Överensstämmelse mellan patienters och anestesisjuksköterskors bedömning av oro vid dagkirurgi : En enkätstudie.” 2015. Thesis, Uppsala University. Accessed March 03, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-255512.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Rehnsfeldt, Jessica. “Överensstämmelse mellan patienters och anestesisjuksköterskors bedömning av oro vid dagkirurgi : En enkätstudie.” 2015. Web. 03 Mar 2021.

Vancouver:

Rehnsfeldt J. Överensstämmelse mellan patienters och anestesisjuksköterskors bedömning av oro vid dagkirurgi : En enkätstudie. [Internet] [Thesis]. Uppsala University; 2015. [cited 2021 Mar 03]. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-255512.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Rehnsfeldt J. Överensstämmelse mellan patienters och anestesisjuksköterskors bedömning av oro vid dagkirurgi : En enkätstudie. [Thesis]. Uppsala University; 2015. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-255512

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Halmstad University

26. Christiansson, Anette. Ren hud : En litteraturstudie om hur omvårdnadsåtgärden hudförberedelse har betydelse för postoperativa sårinfektioner.

Degree: Halmstad University, 2015, Halmstad University

URL: http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-28512

► Postoperative site infections are the second most common health care associated infection in Sweden. Surgical procedures can lead to postoperative site infection causing great… (more)

Subjects/Keywords: chlorhexidine; preoperative care; skin preparation; surgical; hudförberedelser; klorhexidin; postoperativ sårinfektion; preoperativ vård

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Christiansson, A. (2015). Ren hud : En litteraturstudie om hur omvårdnadsåtgärden hudförberedelse har betydelse för postoperativa sårinfektioner. (Thesis). Halmstad University. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-28512

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Christiansson, Anette. “Ren hud : En litteraturstudie om hur omvårdnadsåtgärden hudförberedelse har betydelse för postoperativa sårinfektioner.” 2015. Thesis, Halmstad University. Accessed March 03, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-28512.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Christiansson, Anette. “Ren hud : En litteraturstudie om hur omvårdnadsåtgärden hudförberedelse har betydelse för postoperativa sårinfektioner.” 2015. Web. 03 Mar 2021.

Vancouver:

Christiansson A. Ren hud : En litteraturstudie om hur omvårdnadsåtgärden hudförberedelse har betydelse för postoperativa sårinfektioner. [Internet] [Thesis]. Halmstad University; 2015. [cited 2021 Mar 03]. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-28512.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Christiansson A. Ren hud : En litteraturstudie om hur omvårdnadsåtgärden hudförberedelse har betydelse för postoperativa sårinfektioner. [Thesis]. Halmstad University; 2015. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-28512

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Boston University

27. Meng, Xianrui. Security and privacy aspects of mobile applications for post-surgical care.

Degree: MS, Computer Science, 2014, Boston University

URL: http://hdl.handle.net/2144/14279

► Mobile technologies have the potential to improve patient monitoring, medical decision making and in general the efficiency and quality of health delivery. They also pose… (more)

Subjects/Keywords: Computer science; iOS; Security; Cryptographic protocol; Mobile computing; Post-surgical care; Privacy-preserving

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Meng, X. (2014). Security and privacy aspects of mobile applications for post-surgical care. (Masters Thesis). Boston University. Retrieved from http://hdl.handle.net/2144/14279

Chicago Manual of Style (16^th Edition):

Meng, Xianrui. “Security and privacy aspects of mobile applications for post-surgical care.” 2014. Masters Thesis, Boston University. Accessed March 03, 2021. http://hdl.handle.net/2144/14279.

MLA Handbook (7^th Edition):

Meng, Xianrui. “Security and privacy aspects of mobile applications for post-surgical care.” 2014. Web. 03 Mar 2021.

Vancouver:

Meng X. Security and privacy aspects of mobile applications for post-surgical care. [Internet] [Masters thesis]. Boston University; 2014. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/2144/14279.

Council of Science Editors:

Meng X. Security and privacy aspects of mobile applications for post-surgical care. [Masters Thesis]. Boston University; 2014. Available from: http://hdl.handle.net/2144/14279

University of Hong Kong

28. 黎淑鈿. Evidence-based guidelines for chlorhexidine gluconate in preoperative skin preparation to reduce surgical site infection in patients undergoing general surgery.

Degree: 2013, University of Hong Kong

URL: http://hdl.handle.net/10722/193047

► Surgical site infection not only brings morbidity and mortality to patients, but it also bring substantial financial burden to the hospital and the healthcare system.… (more)

▼ Surgical site infection not only brings morbidity and mortality to patients, but it also bring substantial financial burden to the hospital and the healthcare system. To minimize the clinical consequences of surgical site infection, it is crucial that all appropriate measures for reduction of surgical site infection should be implemented. Since patient’s skin is a potential source of pathogens, normal skin flora is a common cause of surgical site infections. Preoperative skin disinfection of the surgical site with an antiseptic agent is an effective method to remove the soil and transient organisms from the skin. Currently, there are different skin antiseptics available and the most commonly used agents are povidone iodine and chlorhexidine gluconate. Although povidone iodine has a long-standing recommendation and it is widely used in various surgical procedures, it has several limitations. On the other hand, there is an increasing interest of the use of chlorhexidine in indwelling catheter placement and care, surgical hand scrubbing, as well as wound dressing. In view of this, there is a potential of replacing povidone iodine by chlorhexidine as preoperative skin antiseptic agent. As there is no existing guideline supportingthis innovative movement, this dissertation aimed to review the currently available evidence on preoperative skin preparation and to develop an evidence-based guideline of using chlorhexidine in preoperative skin preparation for reducing surgical site infection in patients undergoing general surgery. Five randomized controlled studies were identified from MEDLINE, CINAHL and PUBMED and evaluated by a critical appraisal tool, the Scottish Intercollegiate Guidelines Network. All studies reported that preoperative skin preparation with chlorhexidine is more effective than the use of povidone iodine in reducing surgical site infection. An evidence-based guideline is developed according to the guideline development process from the Scottish Intercollegiate Guideline Network. Patient characteristics, local clinical setting, organizational infrastructure and staff competency is congruent with the proposed innovation. The new protocol not only can minimize the risk of postoperative surgical site infection but also save costs. The cost-benefit analysis showed that the new protocol can help to save 675,552 to 1,097,772 (HK dollars) in six-month period after implementation. To facilitate a more comprehensive plan in actual implementation of the proposed guideline, stakeholders at administrative, managerial, and operational levels would be invited to take part in the 12-week pilot test. Surgical site infection, staff satisfaction and compliance, as well as cost and benefit ratio of the guideline would be measured in the evaluation plan. The refined guidelines would then be implemented for one year. The effectiveness of the guideline would be determined by reduction in postoperative surgical site infection, increase in staff knowledge and satisfaction, and the overall expenditure.

Subjects/Keywords: Preoperative care; Surgical wound infections - Prevention

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

黎淑鈿. (2013). Evidence-based guidelines for chlorhexidine gluconate in preoperative skin preparation to reduce surgical site infection in patients undergoing general surgery. (Thesis). University of Hong Kong. Retrieved from http://hdl.handle.net/10722/193047

Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

黎淑鈿. “Evidence-based guidelines for chlorhexidine gluconate in preoperative skin preparation to reduce surgical site infection in patients undergoing general surgery.” 2013. Thesis, University of Hong Kong. Accessed March 03, 2021. http://hdl.handle.net/10722/193047.

Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

黎淑鈿. “Evidence-based guidelines for chlorhexidine gluconate in preoperative skin preparation to reduce surgical site infection in patients undergoing general surgery.” 2013. Web. 03 Mar 2021.

Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete

Vancouver:

黎淑鈿. Evidence-based guidelines for chlorhexidine gluconate in preoperative skin preparation to reduce surgical site infection in patients undergoing general surgery. [Internet] [Thesis]. University of Hong Kong; 2013. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/10722/193047.

Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

黎淑鈿. Evidence-based guidelines for chlorhexidine gluconate in preoperative skin preparation to reduce surgical site infection in patients undergoing general surgery. [Thesis]. University of Hong Kong; 2013. Available from: http://hdl.handle.net/10722/193047

Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Not specified: Masters Thesis or Doctoral Dissertation

Université de Sherbrooke

29. Yin, David. Agreement of clinical decisions in an interdisciplinary collaborative outpatient clinic model involving a physiotherapy trainee and orthopedic surgeons: Concordance des décisions cliniques d’un modèle de collaboration interdisciplinaire en clinique externe impliquant un stagiaire en physiothérapie et les chirurgiens orthopédistes.

Degree: 2018, Université de Sherbrooke

URL: http://hdl.handle.net/11143/14102

► Les physiothérapeutes en pratique avancée (PPA) ont permis l’amélioration de l’accessibilité aux cliniques externes en orthopédie. Plusieurs études ont validé le modèle de pratique PPA… (more)

▼ Les physiothérapeutes en pratique avancée (PPA) ont permis l’amélioration de l’accessibilité aux cliniques externes en orthopédie. Plusieurs études ont validé le modèle de pratique PPA en soins orthopédiques, démontrant une concordance élevée entre les PPA et les chirurgiens orthopédistes (CO) sur le diagnostic et la prise en charge. Les PPA sont généralement des physiothérapeutes séniors expérimentés et un modèle de pratique avec un stagiaire en physiothérapie (SP) n’a jamais été exploré. Le but de cette étude était donc d’évaluer la concordance pour les diagnostics et pour le triage chirurgical entre un SP et des CO. Une étude prospective impliquant un SP dans sa dernière année d’étude et sept CO a été menée à un hôpital universitaire, après que le SP ait suivi une formation intensive de trois semaines. Les patients adultes référés en orthopédie pour gonarthrose, coxarthrose ou problèmes d’épaule ont été évalués individuellement par le SP et ensuite par un CO. Les diagnostics et recommandations de triage chirurgical des deux cliniciens ont été analysés pour concordance utilisant le pourcentage d’accord brute et le kappa de Cohen. La satisfaction des patients envers leurs expériences en clinique externe a été notée comme issue secondaire utilisant une version modifiée du Visit-Specific Satisfaction Instrument. Notre échantillon comprenait 86 patients (âge moyen = 63.4ans). Les problèmes d’épaule représentaient 36% des consultations, la gonarthrose 52% et la coxarthrose 12%. La concordance brute pour le diagnostic était de 95.3%. La concordance pour le triage chirurgical était élevée (κ = 0.86, IC 95%: 0.74–0.98) avec une concordance brute de 94.2%. La satisfaction des patients était élevée. Donc, le SP et les CO ont posé des diagnostics et triages similaires. Ceci suggère que l’expérience clinique seule ne détermine pas la capacité du physiothérapeute à améliorer l’accessibilité en orthopédie. Advisors/Committee Members: Tousignant, Michel (advisor), Cabana, François (advisor), Tousignant-Laflamme, Yannick (advisor).

Subjects/Keywords: Accessibility; Interdisciplinary Team; Advanced Practice Physiotherapists; Orthopedic Care; Surgical Triage; Inter-rater Agreement

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Yin, D. (2018). Agreement of clinical decisions in an interdisciplinary collaborative outpatient clinic model involving a physiotherapy trainee and orthopedic surgeons: Concordance des décisions cliniques d’un modèle de collaboration interdisciplinaire en clinique externe impliquant un stagiaire en physiothérapie et les chirurgiens orthopédistes. (Masters Thesis). Université de Sherbrooke. Retrieved from http://hdl.handle.net/11143/14102

Chicago Manual of Style (16^th Edition):

Yin, David. “Agreement of clinical decisions in an interdisciplinary collaborative outpatient clinic model involving a physiotherapy trainee and orthopedic surgeons: Concordance des décisions cliniques d’un modèle de collaboration interdisciplinaire en clinique externe impliquant un stagiaire en physiothérapie et les chirurgiens orthopédistes.” 2018. Masters Thesis, Université de Sherbrooke. Accessed March 03, 2021. http://hdl.handle.net/11143/14102.

MLA Handbook (7^th Edition):

Yin, David. “Agreement of clinical decisions in an interdisciplinary collaborative outpatient clinic model involving a physiotherapy trainee and orthopedic surgeons: Concordance des décisions cliniques d’un modèle de collaboration interdisciplinaire en clinique externe impliquant un stagiaire en physiothérapie et les chirurgiens orthopédistes.” 2018. Web. 03 Mar 2021.

Vancouver:

Yin D. Agreement of clinical decisions in an interdisciplinary collaborative outpatient clinic model involving a physiotherapy trainee and orthopedic surgeons: Concordance des décisions cliniques d’un modèle de collaboration interdisciplinaire en clinique externe impliquant un stagiaire en physiothérapie et les chirurgiens orthopédistes. [Internet] [Masters thesis]. Université de Sherbrooke; 2018. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/11143/14102.

Council of Science Editors:

Yin D. Agreement of clinical decisions in an interdisciplinary collaborative outpatient clinic model involving a physiotherapy trainee and orthopedic surgeons: Concordance des décisions cliniques d’un modèle de collaboration interdisciplinaire en clinique externe impliquant un stagiaire en physiothérapie et les chirurgiens orthopédistes. [Masters Thesis]. Université de Sherbrooke; 2018. Available from: http://hdl.handle.net/11143/14102

30. Jerofke, Teresa Arline. Patient Perceptions of Patient-Empowering Nurse Behaviors, Patient Activation, and Functional Health Status After Surgery.

Degree: 2013, Marquette University

URL: https://epublications.marquette.edu/dissertations_mu/272

► PATIENT PERCEPTIONS OF PATIENT-EMPOWERING NURSE BEHAVIORS, PATIENT ACTIVATION, AND FUNCTIONAL HEALTH STATUS AFTER SURGERY Teresa A. Jerofke, BSN, MSN, APNP-BC Marquette University, 2013 Patient empowerment… (more)

▼ PATIENT PERCEPTIONS OF PATIENT-EMPOWERING NURSE BEHAVIORS, PATIENT ACTIVATION, AND FUNCTIONAL HEALTH STATUS AFTER SURGERY Teresa A. Jerofke, BSN, MSN, APNP-BC Marquette University, 2013 Patient empowerment has been advocated as a way to engage patients in self-management of chronic illnesses in emerging patient-centered models for healthcare improvement. The majority of research on patient empowerment has studied empowerment as an outcome in outpatient settings, with little attention to provider processes used to empower patients during a hospitalization. Post-operative patients with life-threatening chronic illnesses face multiple illness-related transitions associated with the recovery from their surgery and taking on the role of managing their life-threatening chronic illnesses upon hospital discharge. A correlational, longitudinal design framed by Meleis' Transitions Theory and the Individual and Family Self-Management Theory (IFSMT) was used to determine the relationship between patient perceptions of patient-empowering nurse behaviors in an acute care setting and patient activation and functional health status six-weeks post-discharge in patients who recently underwent a surgical procedure for cancer or cardiac disease. In addition, tests of validity and reliability were conducted on a newly constructed instrument, the Patient Perceptions of Patient-Empowering Nurse Behaviors Scale (PPPNBS). One hundred thirteen post-surgical cancer and cardiac patients participated. Patient perceptions of patient-empowering nurse behaviors and baseline patient activation were measured prior to discharge with the PPPNBS and 13-item Patient Activation Measure (PAM 13). Patient activation and functional health status were measured six-weeks following discharge with the PAM 13 and SF-36. Multiple linear regression using a simultaneous equation approach was used to identify significant relationships. Patient perceptions of patient-empowering nurse behaviors were significantly positively associated with post-discharge patient activation, which was significantly positively associated with mental functional health status. Length of stay was the only significant predictor of physical functional health status. The PPPNBS demonstrated acceptable validity and reliability in post-surgical patients with a life-threatening chronic illness. Implications for nursing practice, nursing research, and nursing education are identified. Patient-empowering nurse behaviors can be used to facilitate engagement in self-management behavior, improve functional health status, and should be examined as a way to improve the cost of chronic illness care through improved patient activation levels. Transitions Theory and the IFSMT provided a useful framework to examine the contribution of nursing care, represented by patient-empowering nurse behaviors, to patient self-management outcomes. Advisors/Committee Members: Weiss, Marianne E., Bobay, Kathleen, Pruszynski, Jessica.

Subjects/Keywords: chronic illness; empowerment; patient-centered care; post-surgical nursing; self-management; Nursing

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Jerofke, T. A. (2013). Patient Perceptions of Patient-Empowering Nurse Behaviors, Patient Activation, and Functional Health Status After Surgery. (Thesis). Marquette University. Retrieved from https://epublications.marquette.edu/dissertations_mu/272

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Jerofke, Teresa Arline. “Patient Perceptions of Patient-Empowering Nurse Behaviors, Patient Activation, and Functional Health Status After Surgery.” 2013. Thesis, Marquette University. Accessed March 03, 2021. https://epublications.marquette.edu/dissertations_mu/272.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Jerofke, Teresa Arline. “Patient Perceptions of Patient-Empowering Nurse Behaviors, Patient Activation, and Functional Health Status After Surgery.” 2013. Web. 03 Mar 2021.

Vancouver:

Jerofke TA. Patient Perceptions of Patient-Empowering Nurse Behaviors, Patient Activation, and Functional Health Status After Surgery. [Internet] [Thesis]. Marquette University; 2013. [cited 2021 Mar 03]. Available from: https://epublications.marquette.edu/dissertations_mu/272.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Jerofke TA. Patient Perceptions of Patient-Empowering Nurse Behaviors, Patient Activation, and Functional Health Status After Surgery. [Thesis]. Marquette University; 2013. Available from: https://epublications.marquette.edu/dissertations_mu/272

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

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Open Access Theses and Dissertations